Goals For Today Change your mindset about the chronic course and nature of ADHD. Appreciate an integrated model making sense of the large volume of ADHD.

Similar presentations

Presentation on theme: "Goals For Today Change your mindset about the chronic course and nature of ADHD. Appreciate an integrated model making sense of the large volume of ADHD."— Presentation transcript:

2
Goals For Today Change your mindset about the chronic course and nature of ADHD. Appreciate an integrated model making sense of the large volume of ADHD data. Understand the complexities of the ADHD diagnosis in adulthood. Distinguish ADHD from other psychiatric conditions. Understand the diagnostic process.

3
Goals For Today Understand how to conduct a credible and comprehensive evaluation of ADHD in adulthood. To be able to distinguish ADHD from normal problems of everyday life. Understand the current state of scientific treatment for ADHD in adulthood. Understand documentation requirements in support of ADA requests.

14
The symptoms of ADHD lead to a nearly infinite number of consequences

15
Self-regulation The ability to inhibit The ability to delay The ability to separate thought from feeling The ability to separate experience from response The ability to consider an experience and change perspective The ability to consider alternative responses

16
Self-regulation The ability to choose a response and act successfully towards a goal The ability to change the response when confronted with new data The ability to negotiate life automatically The ability to track cues

19
Poor self-regulation leads to: Knowing what to do is not the same as doing what you know Cue-less behavior Inconsistent behavior Unpredictable behavior The illusion of competence Riding an emotional roller coaster Problems with automatic behavior

20
Conditions Under Which Inattention Is Observed Repetitive Effortful Uninteresting Not chosen

23
ADHD is a developmental disability with a childhood onset that typically results in a chronic and pervasive pattern of impairment in school, social and/or work domains, and often in daily adaptive functioning.

30
Incidence of ADHD in the Population No general census data available. No large scale adult epidemiological studies available. Approximate 9% incidence combined for all categorical subtypes in epidemiological studies of children. Consistent with a dimensional view suggesting significant impairment at –1.5 S.D.

33
Diagnostic Guidelines Use self-report of ADHD symptoms: For current symptoms use DSM flexibly (4+) For childhood recall of symptoms use DSM Mandatory corroboration Paper trail of impairment Onset of symptoms before age 13

34
Diagnostic Guidelines Chronic course, no remission Impairment in major life activities using average person standard If impairment arose late must be explained Rule out: low IQ, LD, anxiety, depression as primary cause of symptoms

41
Will a battery of tasks reliably facilitate the clinical diagnosis of ADHD? NOT AT THIS TIME!

42
These measures may be sensitive and specific. Some may even possess positive predictive power. None possess clinically significant negative predictive power.

43
Documentation For ADA Possess proper clinical credentials Use DSM for current and retrospective symptoms Obtain corroboration History of childhood onset History of chronic, unremitting course

44
Documentation For ADA Impairment before age 18 Impairments in major life activities relative to average person Rule out or explain other conditions Explain prior treatments and accommodations Explain why more are needed Justify desired accommodations

49
Treatment Model For Adult ADHD Education about living with the condition A systems mindset Medication Cognitive behavioral counseling Coaching? Vocational support Balance process vs. product activities Family and parenting support

50
Five keys to successful management of ADHD Make tasks interesting Make payoffs valuable Adjust expectations for change Allow more trials to mastery Allow more time for change

64
What is the Mindset of Adults With ADHD? Pessimistic Negative world view External locus of control Helpless Negotiate daily life through a negative reinforcement model Frustrated

65
Is Counseling for ADHD Non- Traditional? Active role of therapist Cognitive behavioral model Similar to working with individual’s with neurological conditions Involve support system Offer guidance and advice.

66
Practical Advice is a Valuable Ally in the Absence of Proven Research Seven Habits of Highly Effective People (Covey) Driven To Distraction (Hallowell and Ratey) Women With ADHD (Solden) Out of the Fog (Murphy) ADHD in Adults (Weiss) ADHD Success Stories (Hartmann) Attention and Advance Magazines

67
We must possess the courage, integrity, patience and knowledge to help those in need regardless of the current state of scientific and political affairs.

About project

Feedback

To ensure the functioning of the site, we use cookies. We share information about your activities on the site with our partners and Google partners: social networks and companies engaged in advertising and web analytics. For more information, see the Privacy Policy and Google Privacy &amp Terms.
Your consent to our cookies if you continue to use this website.